Organization · Type 2 NPI

Divine Providence Village

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Philadelphia, PA

NPI number 1790803492 Active

Practice location

6322 N 21st St
Philadelphia, PA 19138-3006

Call (610) 543-5410 Map

Fax (610) 543-5397

Mailing address

686 Old Marple Rd
Springfield, PA 19064-1239

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Another provider at this address

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Philadelphia

See all in Philadelphia →

About NPI 1790803492

Divine Providence Village's National Provider Identifier is 1790803492, issued on Mar 27, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 16, 2015.